在甲状腺切除术前和后的患者中,应对失声症的策略,声乐障碍和焦虑/抑郁症状
Marcus Vinicius Conceição Gama1, Gabriel Trevizani2, Michelle Guimarães1
1Departamento de Fonoaudiologia, Universidade Federal do Espírito Santo - UFES - Vitória (ES), Brasil.
CoDAS
|November 19, 2025
概括
甲状腺切除术患者使用以情绪为中心的应对策略,并报告轻微的声乐障碍和焦虑. 这些症状在手术后减少,但在三个月后可能会增加,在手术后立即观察到最强的相关性.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 心理学 心理学 心理学
- 语音语言病理学 语言病理学
背景情况:
- 甲状腺切除术可能会影响语音质量和心理健康.
- 了解患者应对机制对于管理术后结果至关重要.
研究的目的:
- 分析甲状腺切除术患者的应对策略,声乐障碍和焦虑/抑郁症.
- 为了评估这些因素在不同时间点的术前和术后的变化.
主要方法:
- 对20名甲状腺切除术患者的回顾性研究.
- 使用了巴西语音障碍应对问卷 (B-VDCQ),语音障碍指数 (VHI) 和医院焦虑和抑郁量表 (HADS).
- 排除标准包括语言,神经,喉,激素或反流性疾病.
主要成果:
- 声乐障碍 (VHI) 是轻微的,有机域得分最高.
- 手术后焦虑特征减少,但在三个月后增加;抑郁症保持稳定.
- 专注于情绪的应对策略 (B-VDCQ) 占主导地位,焦虑,抑郁和声乐障碍之间的相关性随着时间的推移而变化.
结论:
- 甲状腺切除术患者主要使用以情绪为中心的应对方法,并经历轻微的声乐障碍和焦虑.
- 心理和声乐症状在手术后波动,手术后的直接相关性最强.
- 长期监测对于管理持续的焦虑和声音问题很重要.
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